最初累及心脏的恶性淋巴瘤极为罕见,过去报告仅有少数病例,且在作特异治疗前已死亡,故临床表现,诊断结果和治疗方法的结局均大多不明。作者报道过去8年中,9例累及心脏恶性淋巴瘤。在石蜡包埋组织,用过氧化酶方法作诊断组织胞浆免疫球蛋白评价。结果:病人男6例,女3例,中数年龄45岁。胸痛:有胸痛4例考虑为典型急性心肌梗塞(MI)。1例年轻男性开始主诉提示急性MI,但血管造影无冠状血管病,因腹痛作腹部超声发现肾肿 The first malignant lymphoma involving the heart is extremely rare. In the past, only a few cases were reported and died before specific treatment. Therefore, the clinical manifestations, diagnosis results, and treatment outcomes are mostly unknown. The authors report that in the past 8 years, 9 cases involved cardiac lymphoma. Paraffin-embedded tissues were evaluated for histoplasmoglobulin immunoglobulin by peroxidase method. Results: The patient had 6 males and 3 females. The median age was 45 years old. Chest pain: 4 cases with chest pain were considered as typical acute myocardial infarction (MI). One case of a young male complained of an acute MI, but no angiographic coronary artery disease. Abdominal pain was detected by abdominal ultrasound.